person
Mary D Moore, LCSW
Mental Health Counselor in Bangor, Maine
NPI 1134350234

Mary D Moore is a Mental Health Counselor based in Bangor, ME and is specialized in Mental Health. Mary D Moore practices in Bangor, ME and has the professional credentials of LCSW. The NPI Number for Mary D Moore is 1134350234 and holds a License No. LC1351 (Maine).

The current practice location address for Mary D Moore is 1012 Union St, Bangor, ME and can be reached out via phone at 207-945-5247 and via fax at 207-990-1248.

Location: 1012 Union St, Bangor, ME, 04402-1599
person
Provider Profile Details
NPI Number
1134350234
Provider Name
Mary D Moore
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1012 Union St, Bangor, ME, 04402-1599
Phone Number
207-945-5247
Fax Number
207-990-1248
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
432238199 05 ME
institution
Provider Business Practice Location Address Details
Address
1012 Union St
City
State
Zip
04401-3060
Phone Number
207-945-5247
Fax Number
207-990-1248
person
Provider Business Mailing Address Details
Address
1012 Union St
City
State
Zip
04401-3060
Phone Number
207-945-5247
Fax Number
207-990-1248
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC12013 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC1351 (Maine)
Definition
Definition to come...
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